Cumberland, Mary Jane

Cumberland, Mary Jane is an individual health care provider with primary practice located at 1020 S Main St , Salt Lake City UT 84101-3176. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cumberland, Mary Jane can be contacted via phone (801) 539-7000.

Contact Information

Primary practice address
1020 S Main St Salt Lake City UT 84101-3176
Phone: (801) 539-7000
Fax: (801) 539-7050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2177194405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2177194405 Utah

Profile Details

NPI number 1396715504
LBN Legal business name Cumberland, Mary Jane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396715504 NPPES
Utah Other 003104021 RCAR
Utah Other 857364 RCAR
Utah Other Q39422 RCAR
Utah Other 107029319101 RCAR
Utah Other 94293834884101A008 RCAR
Utah Other 942938348MJC RCAR

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